| Jackson Health And Wellness Clinic, Llc | |
|
102 Physicians Blvd Ste B Glasgow KY 42141-1299 | |
| (270) 629-6722 | |
| (270) 629-6723 |
| Full Name | Jackson Health And Wellness Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 Physicians Blvd Ste B, Glasgow, Kentucky |
| Authorized Official Name and Position | Britney Jackson (CEO) |
| Authorized Official Contact | 2706296722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Health And Wellness Clinic, Llc 102 Physicians Blvd Ste B Glasgow KY 42141-1299 Ph: (270) 629-6722 | Jackson Health And Wellness Clinic, Llc 102 Physicians Blvd Ste B Glasgow KY 42141-1299 Ph: (270) 629-6722 |
| NPI Number | 1730534090 |
|---|---|
| Provider Enumeration Date | 04/24/2016 |
| Last Update Date | 06/27/2023 |
| Medicare PECOS PAC ID | 0749575611 |
|---|---|
| Medicare Enrollment ID | O20160817002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730534090 | NPI | - | NPPES |
| 7100144360 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Britney M Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043521289 PECOS PAC ID: 2466632468 Enrollment ID: I20110208000934 |
| Provider Name | Brandy Gayle Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215217328 PECOS PAC ID: 8820260078 Enrollment ID: I20111011000765 |
| Provider Name | Ashley Rae Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619662038 PECOS PAC ID: 3870953649 Enrollment ID: I20230712003240 |
Campbell Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Professional Park Dr, Glasgow, KY 42141 Phone: 270-629-3772 Fax: 270-629-3774 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 164 Scottie Drive, Glasgow, KY 42141 Phone: 270-659-0432 Fax: 270-858-4029 | |
William F Marrs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 N Race St, Glasgow, KY 42141 Phone: 270-651-6707 Fax: 270-651-1751 | |
M.a.s.k. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 Professional Park Dr, Glasgow, KY 42141 Phone: 276-935-2141 Fax: 276-935-2269 | |
Glasgow Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 N Race St, Suite 2, Glasgow, KY 42141 Phone: 270-651-6791 Fax: 270-651-3182 | |
Glasgow Pediatrics Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-0385 | |
T J Samson Family Medicine Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 N Race St, Glasgow, KY 42141 Phone: 270-651-4797 Fax: 270-651-4818 |